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Colby Anastacio

Behavior Analyst in San Bernardino, CA. Individual provider (NPI-1).

NPI number1497272801
StatusActive
Last updated in NPPESAug 25, 2017

Details

NPI
1497272801
Entity type
Individual (NPI-1)
Name
Colby Anastacio
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2017
Last updated
Aug 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1905 Business Center Dr Unit 100
San Bernardino, CA 92408-3460

Phone 909-435-0212

Mailing address

381 W Barbour St Apt B110
Banning, CA 92220-4916

Phone 224-381-8184

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